Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Volunteer Waiver and Hold Harmless AgreementThank you for volunteering to help SafeHaven of Tarrant County. Please read, complete, and sign the following form to participate in this event. VOLUNTEER INFORMATION (PLEASE PRINT CLEARLY)Name * Address Name Parent Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email * EMERGENCY CONTACT INFORMATIONName *Relationship *Phone *VOLUNTEER AGREEMENT As a volunteer, I release and hold harmless SafeHaven of Tarrant County and their successors from any and all claims, costs, suits, actions, judgments or expenses upon any damage, loss or injury to me or to my property which may arise from this volunteer event. I acknowledge that I am fully aware of any and all risks posed by these volunteer activities and that I have no medical condition that prevents me from engaging in them. In signing below, I acknowledge that I have read and understand this volunteer agreement.Signature * Clear Signature Please type your full name. Submitting this form constitutes your Electronic Signature. NOTE: IF THE VOLUNTEER IS UNDER THE AGE OF 18, A PARENT OR LEGAL GUARDIAN MUST SIGN.Parent Signature Clear Signature Please type your full name. Submitting this form constitutes your Electronic Signature. Submit